About this resource
Workers need one clear form. This form records the facts the NDIS rules ask for: what happened, the impact on the person, who was there, what was done to support them, and their views. Managers then assess it and enter it in the Incident Register.
Purpose
The form a worker completes after any incident, built around what the incident rules require.
Who it is for
Primary profession: NDIS providers and support coordinators. Also relevant for disability support workers, positive behaviour support practitioners, community services and case workers.
Client or participant group: Registered NDIS providers: directors, quality and compliance staff, house and team leaders.
Practice setting: Registered NDIS providers, including supported independent living homes.
Suggested uses
- Day-to-day records for a registered provider
- Audit evidence that a process is used in practice
- Induction and team training
Instructions for practitioners
- Add your organisation's name and details, and delete what does not apply.
- Show workers how and when to use it, and where completed copies are stored.
- Complete it at the time, in plain and respectful language.
- Check a sample regularly and add any improvements to your Continuous Improvement Register.
Accessibility considerations
Clear tables with room to write. The Word version can be filled in on screen.
Scope and limitations
An editable template and practical record. It is not legal advice and does not by itself show that a provider meets the NDIS Practice Standards. Check it against the current Practice Standards, NDIS rules, your registration groups and your state or territory's laws, and adapt it to how your service really works.
Higher-risk topic: use only within your training, supervision and organisational procedures.
Research basis
The NDIS incident management rules require registered providers to record, respond to and learn from incidents, keep incident records for 7 years and notify the NDIS Commission of reportable incidents within set timeframes: most within 24 hours of key personnel becoming aware, with a further report within 5 business days. The NDIS Commission's detailed guidance describes what an incident management system should do: identify, record, assess, respond to, investigate and learn from incidents, while supporting the people affected.
- National Disability Insurance Scheme (Incident Management and Reportable Incidents) Rules 2018 (Cth). https://www.legislation.gov.au/F2018L00633/latest/text
- NDIS Quality and Safeguards Commission. (2024). Incident management systems: Detailed guidance for registered NDIS providers. https://www.ndiscommission.gov.au/sites/default/files/2024-09/detailed-guidance-incident-management-systems-detailed-guidance-regi-20240926.pdf
- NDIS Quality and Safeguards Commission. Reportable incidents. https://www.ndiscommission.gov.au/providers/registered-ndis-providers/reportable-incidents
What is included
A 3-page printable A4 PDF, including a practitioner notes page with the research basis (version 1.0).
Originality
Original Practitioner Plus content: wording, activity structure, layout and icons were created for this resource. No third-party worksheets, illustrations or text were reproduced. Written for Practitioner Plus from the NDIS Practice Standards and NDIS rules listed in the research basis; no third-party template was used. It is not an NDIS Commission form.
